Healthcare Provider Details

I. General information

NPI: 1548085061
Provider Name (Legal Business Name): THIER NUTRITION CONSULTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2024
Last Update Date: 11/19/2024
Certification Date: 11/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6301 ARSENAL AVE
RALEIGH NC
27610-6780
US

IV. Provider business mailing address

6301 ARSENAL AVE
RALEIGH NC
27610-6780
US

V. Phone/Fax

Practice location:
  • Phone: 860-681-5946
  • Fax:
Mailing address:
  • Phone: 860-681-5946
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY PAUL THIER
Title or Position: REGISTERED DIEITITAN
Credential: MS RD LDN
Phone: 860-681-5946